office of the medicaid inspector general bart dickinson, chief counsel
TRANSCRIPT
Office of the Medicaid Inspector General
Bart Dickinson, Chief Counsel
Creation of the OMIG
• On April 23, 2013, Act 1499 was signed into law creating the Arkansas Medicaid Inspector General’s Office.
Creation of the OMIG
• On April 23, 2013, Act 1499 was signed into law creating the Arkansas Medicaid Inspector General’s Office.
• Now codified Ark. Code Ann. §20-77-2501
Creation of the OMIG
• On April 23, 2013, Act 1499 was signed into law creating the Arkansas Medicaid Inspector General’s Office.
• Now codified Ark. Code Ann. §20-77-2501 • Outlines OMIG’s
PurposeAuthorityDuties
Mission Statement of the Arkansas Medicaid Inspector General
Pursuant to Ark. Code Ann. §20-77-2505, the Office of the Medicaid Inspector General, (OMIG) shall:
(1) Prevent, detect, and investigate fraud and abuse within the medical assistance program;
(2) Refer appropriate cases for criminal prosecution;
(3) Recover improperly expended medical assistance funds;
(4) Audit medical assistance program functions; and
(5) Establish a medical assistance program fraud and abuse prevention.
OMIG Duties
• Perform former DMS Program Integrity functions including: audits; reviews; and investigations
OMIG Duties
• Perform former DMS Program Integrity functions including: audits; reviews; and investigations
• Pursue civil and administrative enforcement actions
OMIG Duties
• Perform former DMS Program Integrity functions including: audits; reviews; and investigations
• Pursue civil and administrative enforcement actions
• Refer cases of fraud and criminal activity– Providers AND Beneficiary fraud
OMIG Duties cont.
• Utilize subpoena power for witnesses and documents
OMIG Duties cont.
• Utilize subpoena power for witnesses and documents
• Recommend and implement policies to reduce fraud and abuse
OMIG Duties cont.
• Utilize subpoena power for witnesses and documents
• Recommend and implement policies to reduce fraud and abuse
• Monitor, review, and work with DHS/DMS
OMIG Duties cont.
• Utilize subpoena power for witnesses and documents
• Recommend and implement policies to reduce fraud and abuse
• Monitor, review, and work with DHS/DMS• Work with Providers
Work with Providers
• Conduct Educational Programs• Communicate with Providers• Develop Protocols for Self-Disclosure• Establish Policies and Procedures for Audits• Create a Model Provider Compliance Program
Features of OMIG website
• Online Referral and Fraud complaint form • Medicaid Fraud Hotline information • Medicaid Provider Exclusion List • Provider Enrollment information • Provider Self-Disclosure Protocol • Provider Compliance Program • News about the Office of the Medicaid Inspector
General • Links to other federal and state agencies or
resources • Education on Medicaid fraud, waste and abuse
Contact Information
Office of the Medicaid Inspector General P.O. Box 1437, Slot S-414 Little Rock, Arkansas 72203-1437 501-683-8349 FAX: 501-682-8350 _________________________________________________
Jay Shue, Medicaid Inspector General Office of the Medicaid Inspector General 323 Center Street, Ste. 1200 Little Rock, AR 72201 501-683-2976 [email protected]
Bart Dickinson, Chief Counsel Office of the Medicaid Inspector General 323 Center Street, Ste. 1200 Little Rock, AR 72201 501-683-2978 [email protected]
Robin Raveendren, Program Integrity Director Office of the Medicaid Inspector General Donaghy Plaza West, 700 Main Street Little Rock, AR 72201 501-682-8173 [email protected]